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General NPI Number Information
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NPI Number | 1841781770
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Entity Type | Individual
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Provider Name | YETUNDE TOLULOPE OLADOSU
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Gender | Female
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Dates
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Enumeration Date | 05/26/2018
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Last Update Date | 08/29/2018
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Provider Practice Location Address
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Address Line | 7710 OAKDELL WAY APT 1202
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1974
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Country | US
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Telephone | 240-644-9517
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 W WALNUT HILL LN STE 155F
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City | IRVING
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State | TX
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Zip | 75038-3032
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Country | US
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Telephone | 214-305-2666
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP137594
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License Number State | TX
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